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fron:SeaTac Electric, Inc. 12/08/2008 09: 13 N528 P.002/UD2 <br /> I ELEC�'RICAL f�ERMI �T APPLICATION <br /> ' CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-88'10 - FAX 425-257-8857—wv�nr�.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �z _u�-0� <br /> C�= �Ja�'l2-v��� <br /> �lo�o c�E�in,Ecn �,m,� <br /> . <br /> PROJECT ADDRESS <br /> - Ct'1t�t <br /> � HbPF1.lF�L '?.O•f.flt �tL'11 r'Ykr��wlNtm . mKt [-�,D <br /> Owne� MallAddross City SlalelZip Phone <br /> ��.w��K�c-� ao�o �C-,u,a�-„ ksw+n ��� qYLo3 <br /> Tenanl MallAddress City StalelZlp Pnona <br /> gF,a-rwc. r-�C-r.T�G�i� �lo�v 5 ?�.a11 ��y�;s[_ t�rt R8D3Z- ?a.3-8'12-95 <br /> Electrical Conirectar Mail Address City State2lp Phone <br /> S�✓�'('K�F.S�'l'1 I�f� � ��1t4] a'+n _ <br /> itate Llcense Numbar Contract Prico of Work <br /> _r.on,H+r�c�,..,.'_ �cr�N v..sst�. a�,-as,-�KnS <br /> Proposed Use of BuIlding Contect Person (Plan Revlew) <br /> Descrlptlon of Work to Oo Done: ��n� �e� �au�riNci ecd.C�r,ef S •ra r1L�J (.EfCeL�Qy1'TlDYI I.tn LT S <br /> NOTE: WIRING IN NpN-DWFLLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, 'dC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 31�6 <br /> I heroby ceRify Ihet 1 hava road e,�d examinad this application and know fhe same fo be true and <br /> correcL All provisions ollaws and ordinances yuvorning thfs rype o/work wllf bo completetf <br /> whether spociGod heroin or not. 7ha granting ol o permit doas notp�esume to give authonty fo <br /> �violate or cancel the provisions ol any ofhorstale orlocal law reguleting consWctlon ortho <br /> peNormance ol constrvctlon. That!am authonzetl by Oie oweer o�this properly to pedorm fhe <br /> �vork(or�vhich applicat/on is made and I comply with fhe Stafo Contractors Law 18.27 RwW and <br /> 296.200 H;4C. <br /> `--�2 � _--_•� �LI a Lo�- <br /> Signat re Datu <br /> �C�O I a'V�I L� <br />